Grover Amelia, Appelbaum Nital, Santen Sally A, Lee Nathaniel, Hemphill Robin R, Goldberg Stephanie
VCU Health, USA.
VCU School of Medicine, USA.
Am J Surg. 2020 Aug;220(2):276-281. doi: 10.1016/j.amjsurg.2019.11.038. Epub 2020 Feb 3.
Mistreatment has been correlated with burnout and poor well-being in medical students, but data regarding residents and faculty are limited. The objective was to investigate the prevalence of mistreatment towards surgical housestaff and faculty and characterize such experiences.
In 2018, the Department of Surgery surveyed housestaff and faculty on incidents of mistreatment.
Clinical faculty (63%) and residents (72%) completed the mistreatment survey. Excluding public embarrassment, 48% of residents and 29% of clinical faculty experienced mistreatment. Residents experienced public embarrassment and public humiliation more frequently than faculty, however faculty were subjected to racially or ethnically offensive remarks/names more frequently than residents (p < .05). Faculty within and external to their department were most cited as instigators of mistreatment. Residents experienced mistreatment most often by faculty, co-residents, and nurses. Reporting of the behaviors was low.
Incidents of mistreatment are frequently occurring for surgical residents and faculty.
虐待行为与医学生的职业倦怠和幸福感不佳有关，但关于住院医师和教职员工的数据有限。目的是调查对外科住院医师和教职员工的虐待行为的发生率，并描述此类经历。
2018年，外科系对外科住院医师和教职员工进行了虐待事件调查。
临床教职员工（63%）和住院医师（72%）完成了虐待调查。排除公开羞辱情况，48%的住院医师和29%的临床教职员工经历过虐待。住院医师比教职员工更频繁地经历公开尴尬和公开羞辱，然而教职员工比住院医师更频繁地遭受种族或民族攻击性言论/称呼（p < 0.05）。本部门内外的教职员工被最常指认为虐待行为的煽动者。住院医师最常受到教职员工、住院医师同事和护士的虐待。对这些行为的举报率很低。
外科住院医师和教职员工经常发生虐待事件。
